The effects of Immunoglobulin M (IgM) enriched immunoglobulin preparations in patients with severe sepsis

ISRCTN ISRCTN28863830
DOI https://doi.org/10.1186/ISRCTN28863830
Protocol serial number N/A
Sponsor Istanbul University (Turkey)
Funder Not provided at time of registration
Submission date
29/04/2002
Registration date
29/04/2002
Last edited
07/03/2008
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Infections and Infestations
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Simru Tugrul
Scientific

IU Istanbul Tip Fakültesi Anesteziyoloji AD
Cerrahi Monoblok
Çapa
Istanbul
34390 Fatih
Türkiye

Phone +90 (9)212 6318767
Email mtugrul@isbank.net.tr

Study information

Primary study designInterventional
Study designRandomised controlled trial
Secondary study designRandomised controlled trial
Scientific title
Study objectivesTo evaluate the effect of IgM-enriched immunoglobulin treatment on progression of organ failure and septic shock in patients with severe sepsis.
Ethics approval(s)Not provided at time of registration
Health condition(s) or problem(s) studiedSevere sepsis
InterventionPatients in the study group (n = 21) received intravenous immunoglobulin preparation (Pentaglobin®) in addition to standard therapy. Pentaglobin® was started on the day of diagnosis of severe sepsis. 5 mL/kg/day Pentaglobin® (38 g/L IgG, 6 g/L IgM and 6 g/L IgA) was infused over 6 hours and repeated for three consecutive days.

Patients in the control group (n = 18) received standard sepsis therapy, but no immunoglobulin administration. Blood samples for procalcitonin measurements were taken daily for eight days. Severity of critical illness and development of organ failures were assessed by obtaining daily Acute Physiological and Chronic Health Evaluation II and Sequential Organ Failure Assessment scores.
Intervention typeDrug
PhaseNot Specified
Drug / device / biological / vaccine name(s)Pentaglobin®
Primary outcome measure(s)

Procalcitonin (PCT) measurements; blood samples were taken daily for eight days following study admission.

Key secondary outcome measure(s)

1. Severity of critical illness, assessed by obtaining daily acute physiological and chronic health evaluation score (APACHE II)
2. Sequential organ failure assessment (SOFA) score used to assess the development of organ failure
3. Duration of mechanical ventilation
4. Length of stay in the intensive care unit
5. Septic shock incidence
6. 28-day mortality rate

Completion date01/01/2001

Eligibility

Participant type(s)Patient
Age groupNot Specified
SexNot Specified
Target sample size at registration39
Key inclusion criteriaThirty-nine patients with severe sepsis, defined as:
1. Temperature of greater than 38°C or less than 36°C
2. Heart rate of greater than 90 beats/min
3. Respiratory rate greater than 20/min or arterial carbon dioxide pressure (PaCO2) less than 32 mmHg
4. White blood cell count greater than 12000/mm^3 or less than 4000/mm^3
5. Documented infection and dysfunction of an organ or hypotension
Key exclusion criteriaDoes not comply with above inclusion criteria
Date of first enrolment01/01/2000
Date of final enrolment01/01/2001

Locations

Countries of recruitment

  • Türkiye

Study participating centre

IU Istanbul Tip Fakültesi Anesteziyoloji AD
Istanbul
34390 Fatih
Türkiye

Results and Publications

Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article Results 01/08/2002 Yes No